胸部CT扫描诊断乳腺疾病的应用价值  

The Chest CT Scans Application Value of Diagnosing the Mammary Glands Disease

作　　者：何萍霞[1] 张玉花[1] 杨立国[1] 毕纯龙[1] 

机构地区：[1]黑龙江省大庆市大庆油田总医院CT室,大庆163001

出　　处：《中国医疗器械信息》2009年第5期40-43,共4页China Medical Device Information

摘　　要：目的：分析乳腺肿块或结节的征象，探讨胸部CT扫描在乳腺疾病中的诊断及乳腺癌术前检查的价值。材料与方法：对2006．2～2006．10行胸部CT扫描女性382例（其中乳腺癌术后复查112例）中，发现乳腺肿块45例，经手术或穿刺病理证实乳腺癌22例（病灶25个），其中乳癌术后对侧再发5例。良性疾病包括乳腺腺瘤12例（病灶18个），隆乳术后并发症2例，钙化灶4例,小叶增生2例，脂肪瘤1例，乳腺囊肿1例，心衰引起单侧乳腺水肿1例。结果：CT扫描可清晰显示乳腺结构。45例中乳腺癌22例，CT表现以毛刺状肿块为主；良性病变12例多以圆形、类圆形肿块为主。结论胸部CT特别是16排扫描对乳腺病变的敏感性可以补充其他有关乳腺检查诊断方法，尤其乳腺癌术前的诊断价值进行了探讨。Objecctive： Analysis symptom of the mammary glands tumor or node, inquiry into the chest CT scans the value of the mammary glands disease diagnosis and that checks before the operation in the mammary glands cancer. Material and Methods： Among chest CT scans female＇s 382 from 2006-2 to 2006-10 （reexamination 112 after the mammary glands cancer operation among them）, discover the mammary glands tumor 45, through surgical operation or aspiration biopsy pathology confirmation mammary cancer 22（25 focuses）, relapse to the opposite side 5 after breast cancer operation among them. The benign diseases includes adenoma of breast 12（18 focuses）, complications after swelling up of breast operation 2, the calcify focus 4, lobule hyperplasia of mammary glands 2, lipoma 1, galactocele 1, the heart failure causes the single side mammary glands edema 1. Result： CT＇s scan can clearly display mammary glands structure. Mammary cancer 22 among 45, the CT performance with the hair stab the form lump for lord; the benign pathologic changes 12 is many regard the circular, type circular lump as principle. Conclusion： Chest CT especially 16 rows scan to the sensitivity of the mammary glands pathologic changes can add the other relevant mammary glands examination diagnosis method, particularly the diagnosis value of the mammary cancer before the operation carried on a study.

关 键 词：乳腺疾病 乳癌 胸部CT 

分 类 号：R445[医药卫生—影像医学与核医学]